2022 Event COVID Positive Test Result Reporting Form for Participants, Guests, and Vendors

2022 Event COVID Positive Test Result Reporting Form

for Participants, Guests, and Vendors

If you are a Staff Developer or an AVID Center Employee, please click HERE to complete the appropriate form.

If you are experiencing life-threatening symptoms, call 911.

USE THIS FORM ONLY WHILE ATTENDING A LIVE EVENT, OTHERWISE, IF YOU TESTED POSITIVE PRIOR TO ATTENDING A LIVE EVENT, PLEASE EMAIL AVIDCARE@AVID.ORG

OR CALL 1-833-AVID-CARE (1-833-284-3227)

Today's Date*

First Name*

Last Name*

Cell Phone Number

E-mail Address*

Role at AVID Event*

Select

Registration ID (Number found on event name badge)*

Event Type*

Select

Event Location

Please indicate the city where the AVID event took place

Did you attend site team?*

Select

If you attended Site Team, please notify your District Leader(s)

Date COVID-19 test was administered*

What is the last date you attended the event?*

Comments

For vendors and guests, please add useful information such as locations at this event where you have been in close contact with others

Thank you

Thank you for sharing your COVID-19 test results with us, we certainly hope you begin feeling better soon. Please isolate, and follow CDC guidelines on the CDC Quarantine and Isolation Calculator. You may email AVID Care at avidcare@avid.org with any additional questions.

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